1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

MILESTONE RECOVERY
NPI 1063548436
Substance Abuse Rehabilitation Facility in Portland, ME

Active since February 27, 2007CLIA 20D2201194 · Waiver
65 INDIA ST, PORTLAND, ME 04101(207) 775-4790 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Milestone Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILESTONE RECOVERY (NPI 1063548436) is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Maine and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Thomas Doherty, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063548436
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMILESTONE RECOVERY
Location Address65 INDIA STPortland, ME 04101-4209
Mailing Address65 India StPortland, ME 04101-4209 · (207) 775-4790 · Fax (207) 775-5231
Phone(207) 775-4790
Organization SubpartNo
Authorized OfficialThomas DohertyExecutive Director · (207) 775-4790
Enumeration DateFebruary 27, 2007
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1063548436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in ME · 238672
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
65 INDIA ST, Portland, ME 04101
Open in Google Maps ↗

Other Identifiers 2

Medicaid137990003ME
Medicaid137990001ME

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2201194

Milestone Recovery · Portland, ME
Active · expires Nov 18, 2026
CLIA Number20D2201194
Laboratory TypeMedically Mon Detox Fac
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorAmy S. Chaney
Laboratory Phone(207) 775-4790
Laboratory LocationMilestone Recovery65 India Street, Portland, ME 04101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVER GILCHRIST BRADEEN LCPC
Counselor (Professional)
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
MILESTONE RECOVERY
Substance Abuse Rehabilitation Facility
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
CLIFFORD THIBODEAU LADC, CCS
Counselor (Addiction (Substance Use Disorder))
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
MEGAN MARIE POIRIER-WESTMAN LADC
Counselor (Addiction (Substance Use Disorder))
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 770-4790
CAMERON R BONNEY MD
Psychiatry & Neurology (Psychiatry)
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
KATE ELIZABETH MICHIE LADC
Counselor (Addiction (Substance Use Disorder))
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 303-2481
JOYCE DOLLEY CADC
Counselor (Addiction (Substance Use Disorder))
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790
COLLEEN ROBYN MCKEE FNP
Nurse Practitioner (Family)
65 INDIA ST
PORTLAND, ME 04101
Cumberland County (207) 775-4790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Milestone Recovery's NPI number?

The NPI number for Milestone Recovery is 1063548436. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Milestone Recovery located?

Milestone Recovery is located at 65 India St, Portland, ME 04101. The listed phone number is (207) 775-4790.

What is Milestone Recovery's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Milestone Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2201194) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Milestone Recovery was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.